Patient had undergone previous upper blepharoplasty elsewhere at a much younger age and now desires stabilization of a drooping brow without extensive forehead surgery.
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1. Small incision made in eyelid skin (in this case minimal because of previous surgery)
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2. Skin removed; dissection into deeper level of eyelid
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3. Dissection from inside the blepharoplasty incision exposing bone underneath the brow
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4. Suture first passed through the soft tissue underlying the eyebrow
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5. Same suture next passed through the lining of orbital bone (periosteum)
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6. Suture now in place will anchor the brow to bone at the desired higher level
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7. Second similar suture fixation created to establish proper height and contour
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8. Sutures cut and left permanently in place
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Before
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Immediately After
(Note improved brow shape and height.
Patient's eye is closed due to sedation)
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